Individual provider Active NPI

Mandy Jo McCarty, NP-C

  • Family Nurse Practitioner
  • Fairfield, IA
National Provider Identifier
1316338593
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004296 Issued in AR
Practice address
2000 S Main St
Fairfield, IA 52556-9572
Phone
(641) 472-9111
NPI assigned
Feb 10, 2015
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004296 AR Primary

Addresses

Primary practice location

2000 S Main St
Fairfield, IA 52556-9572

Mailing address

20937 Russell Corner Rd
Gravette, AR 72736-8953
Phone (479) 787-8034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171016000348 AR Practitioner - Nurse Practitioner 4082931365 Reassigns benefits to 1 organization
I20190522001248 IA Practitioner - Nurse Practitioner 4082931365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, 48 clinicians

Practice addresses (Care Compare)

2000 C S Main St
Fairfield, IA 52556-9572

2000 S Main
Fairfield, IA 52556-9572

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians, LLP CurrentSince Aug 27, 2017 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Aug 27, 2017 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jul 1, 2021 Accepting new patients
Jefferson County Hospital CurrentSince Jun 1, 2019 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jul 1, 2021 Accepting new patients
Jefferson County Hospital CurrentSince Jun 1, 2019 Accepting new patients
South Arkansas Emergency Physicians LLP Current Accepting new patients
Jefferson County Hospital Past Accepting new patients

Locations

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

Interoperability endpoints

  • Direct secure messaging: mhunter160755@uihcdirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1316338593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20937 RUSSELL CORNER RD",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727368953",
            "telephone_number": "479-787-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-472-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MANDY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.